The beginning of Appendix 1 in the paper BNF contains several tables of ‘drugs that cause…’. This saves you from looking up each drug individually when being asked which drug is most likely to cause ‘x’.

PSA) - Mind The Bleep Passing the Prescribing Safety Assessment (PSA) - Mind The Bleep

Each question in this section will consist of a scenario where a patient is being prescribed a particular drug and you will be asked to decide on what information should be communicated to the patient. Each question in this section will consist of a clinical scenario where you will be asked to plan the monitoring of a drug being prescribed. You should also revise the fluid management, opioid pain management, insulin management and pre-operative management topics in the Oxford Handbook of Clinical Medicine. Questions on these topics are common in the PSA and many find them difficult. Fluid management is particularly important.

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After you prescribe a drug, you have to state the dose and route of administration. For regular medicines and general practice prescriptions, you also have to state the frequency. You need not state the duration. Refer to the BNF for the correct dose, route and frequency under the right indication. AskyourmedschoolforplainA4paperandaminicalculatorwhichtheyshouldbeabletoprovidewithbasicfunctions-theyareallowedto-thiswillspeedupyourtimedoingcalculations Use your clinical knowledge and judgement to determine the most suitable management from the 5 choices of answers, taking into consideration all information provided in the question. The BNF may be able to help, but only in some cases. The treatment is often tailored to individual patients and depends can potentially depend on factors such as gender (e.g duration of UTI treatment for men is 7 days), drug history and allergies. After finishing the practice questions, find out if your answer for each question is correct. You should understand the reasoning behind every correct or wrong answer.

Failed PSA :( - The Student Room Failed PSA :( - The Student Room

You must make sure that there are no contraindications or allergies to any drug you want to prescribe. The list of contraindications of each drug is available in the BNF. Prescribing a drug that is contraindicated will likely cause you to score 0 mark for the whole question. Newly qualified FY1 doctors will write and review many prescriptions each day, however, prescribing is often considered one of the most challenging areas. In addition, prescription errors are commonly observed in practice. Therefore, the PSA was introduced to ensure junior doctors are safe prescribers with the aim to improve clinical practice and reduce the number of prescribing errors. In this section, each question will list several drugs that have been prescribed, where you have to identify one or more of the drugs that are inappropriate or have a particular problem, such as adverse effects, contraindications, interactions with other drugs, ineffectiveness or dose error.For example, patients require ~ 1mmol/kg/day of K+, this should not be infused at a rate >10mmol/hr.